Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.02 / $563.02 / $2,178.89	Facility		$563.02	$563.02	$2,178.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.73 / $596.14 / $719.64	Professional		$477.73	$596.14	$719.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $960.02 / $1,260.77 / $1,260.77	Professional		$960.02	$1,260.77	$1,260.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $1,220.75	Facility		$957.73	$957.73	$1,220.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $1,068.93	Professional		$699.14	$699.14	$1,068.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.08 / $1,220.75 / $2,319.42	Professional		$1,123.08	$1,220.75	$2,319.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $563.02 / $563.02 / $2,178.89	Facility		$563.02	$563.02	$2,178.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $469.42 / $596.14 / $1,024.70	Professional		$469.42	$596.14	$1,024.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $826.80 / $1,664.90 / $2,405.10	Professional		$826.80	$1,664.90	$2,405.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $1,220.75	Facility		$957.73	$957.73	$1,220.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $1,565.25	Professional		$699.14	$699.14	$1,565.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $602.46 / $602.46 / $1,200.02	Facility		$602.46	$602.46	$1,200.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.46 / $1,200.02 / $1,224.02	Professional		$602.46	$1,200.02	$1,224.02
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $568.49 / $702.36 / $1,048.30	Professional		$568.49	$702.36	$1,048.30